Organization Active NPI

Chelsea Chiropractic Center, PLC

  • Chiropractor
  • Chelsea, MI
National Provider Identifier
1861659088
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JD006131 Issued in MI
Legal business name
CHELSEA CHIROPRACTIC CENTER, PLC
Practice address
901 Taylor St
Suite C
Chelsea, MI 48118-2301
Phone
(734) 475-2932
Fax
(734) 475-1885
NPI assigned
May 16, 2008
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Gillard Duncan II, DCNPI 1114075264
Title
Member
Phone
(734) 475-2932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X JD006131 MI Primary

Addresses

Primary practice location

901 Taylor St
Suite C
Chelsea, MI 48118-2301

Mailing address

901 Taylor St
Suite C
Chelsea, MI 48118-2301
Phone (734) 475-2932

Other identifiers 2

IdentifierTypeStateIssuer
1114075264OtherMIINDIVIDUAL NPI
950H150960OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080723000299 MI Part B Supplier - Clinic/Group Practice 3577636679 Receives reassigned benefits from 1 practitioner
Practice locations: Chelsea, MI

National Provider Directory

National Provider Directory

Locations

901 Taylor St
Ste C
Chelsea, MI 48118
Phone (734) 475-2932

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1861659088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 TAYLOR ST",
            "address_2": "SUITE C",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481182301",
            "telephone_number": "734-475-2932",
            "fax_number": "734-475-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 TAYLOR ST",
            "address_2": "SUITE C",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481182301",
            "telephone_number": "734-475-2932",
            "fax_number": "734-475-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA CHIROPRACTIC CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GILLARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-475-2932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JD006131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114075264",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950H150960",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.